RE: to Ken R some info on PFT

[Guest guest]

The Pulmonary Function Test (PFT) will

have you breathing into a device that can quantify how well your lungs

work. The values are not cut and dry and there can be a fairly significant

variation in some of the metrics. The numbers are stated as percent of expected.

Below is a table of “normal” values from the following website http://www.aafp.org/afp/20040301/1107.html

.. The tests are generally repeated until three attempts have similar

results. Tests are often repeated following a dose of albuterol (an asthma

bronchodilator) to determine if there is an improvement in flow characteristics.

I believe these tests to be more focused on COPD than they are on IPF but they

are a good measure of the extent of scarring that has occurred in IPF cases.

DLCO testing is to see how effective the lungs are at transferring oxygen to

the blood by measuring the amount of carbon dioxide that is transferred from

the blood.

Ken Baker UIP/IPF 12/05 New Hampshire

Normal Values of Pulmonary Function Tests

Pulmonary function test

Normal value (95 percent

confidence interval)

FEV1

80% to 120%

FVC

80% to 120%

Absolute FEV1/FVC ratio

Within 5% of the predicted ratio

TLC

80% to 120%

FRC

75% to 120%

RV

75% to 120%

Dlco

>60% to <120%

Dlco = diffusing capacity of lung for

carbon monoxide.

[Guest guest]

Thank you - Will they check my blood/gxygen at the PFT Clinic and should I purchase an oximeter? You are very helpful! Ken

To: Breathe-Support Sent: Monday, March 9, 2009 2:11:09 PMSubject: RE: to Ken R some info on PFT

The Pulmonary Function Test (PFT) will have you breathing into a device that can quantify how well your lungs work. The values are not cut and dry and there can be a fairly significant variation in some of the metrics. The numbers are stated as percent of expected. Below is a table of “normal†values from the following website http://www.aafp. org/afp/20040301 /1107.html . The tests are generally repeated until three attempts have similar results. Tests are often repeated following a dose of albuterol (an asthma bronchodilator) to determine if there is an improvement in flow characteristics. I believe these tests to be more focused on COPD than they are on IPF but they are a good measure of the extent of scarring that has

occurred in IPF cases. DLCO testing is to see how effective the lungs are at transferring oxygen to the blood by measuring the amount of carbon dioxide that is transferred from the blood.

Ken Baker UIP/IPF 12/05 New Hampshire

Normal Values of Pulmonary Function Tests

Pulmonary function test

Normal value (95 percent confidence interval)

FEV1

80% to 120%

FVC

80% to 120%

Absolute FEV1/FVC ratio

Within 5% of the predicted ratio

TLC

80% to 120%

FRC

75% to 120%

RV

75% to 120%

Dlco

>60% to <120%

Dlco = diffusing capacity of lung for carbon monoxide.

[Guest guest]

Thank you - Will they check my blood/gxygen at the PFT Clinic and should I purchase an oximeter? You are very helpful! Ken

To: Breathe-Support Sent: Monday, March 9, 2009 2:11:09 PMSubject: RE: to Ken R some info on PFT

The Pulmonary Function Test (PFT) will have you breathing into a device that can quantify how well your lungs work. The values are not cut and dry and there can be a fairly significant variation in some of the metrics. The numbers are stated as percent of expected. Below is a table of “normal†values from the following website http://www.aafp. org/afp/20040301 /1107.html . The tests are generally repeated until three attempts have similar results. Tests are often repeated following a dose of albuterol (an asthma bronchodilator) to determine if there is an improvement in flow characteristics. I believe these tests to be more focused on COPD than they are on IPF but they are a good measure of the extent of scarring that has

occurred in IPF cases. DLCO testing is to see how effective the lungs are at transferring oxygen to the blood by measuring the amount of carbon dioxide that is transferred from the blood.

Ken Baker UIP/IPF 12/05 New Hampshire

Normal Values of Pulmonary Function Tests

Pulmonary function test

Normal value (95 percent confidence interval)

FEV1

80% to 120%

FVC

80% to 120%

Absolute FEV1/FVC ratio

Within 5% of the predicted ratio

TLC

80% to 120%

FRC

75% to 120%

RV

75% to 120%

Dlco

>60% to <120%

Dlco = diffusing capacity of lung for carbon monoxide.

[Guest guest]

They should check it using a pulse

oximeter. They only test arterial blood gas when absolutely necessary and

it can be quite painful (always ask for linocane). I recommend getting your own

pulse oximeter from portablenebs http://www.portablenebs.com/choiceoximeter.htm

Ken Baker UIP/IPF 12/05 NH

From:

Breathe-Support [mailto:Breathe-Support ] On Behalf Of Ken Raphael

Sent: Monday, March 09, 2009 7:44

PM

To:

Breathe-Support

Subject: Re: to

Ken R some info on PFT

Thank you - Will they check my blood/gxygen at the PFT Clinic and

should I purchase an oximeter? You are very helpful! Ken

From: Ken's RR

Mail <ridgerunnernh (AT) comcast (DOT) net>

To: Breathe-Support

Sent: Monday, March 9, 2009

2:11:09 PM

Subject: RE: to

Ken R some info on PFT

The Pulmonary Function Test (PFT) will have you breathing into a

device that can quantify how well your lungs work. The values are not cut

and dry and there can be a fairly significant variation in some of the metrics.

The numbers are stated as percent of expected. Below is a table of

“normal” values from the following website http://www.aafp.

org/afp/20040301 /1107.html . The tests are generally repeated until

three attempts have similar results. Tests are often repeated following a

dose of albuterol (an asthma bronchodilator) to determine if there is an

improvement in flow characteristics. I believe these tests to be more

focused on COPD than they are on IPF but they are a good measure of the extent

of scarring that has occurred in IPF cases. DLCO testing is to see how

effective the lungs are at transferring oxygen to the blood by measuring the

amount of carbon dioxide that is transferred from the blood.

Ken Baker UIP/IPF 12/05 New

Hampshire

Normal Values of Pulmonary Function Tests

Pulmonary

function test

Normal

value (95 percent confidence interval)

FEV1

80% to 120%

FVC

80% to 120%

Absolute FEV1/FVC ratio

Within 5% of the

predicted ratio

TLC

80% to 120%

FRC

75% to 120%

RV

75% to 120%

Dlco

>60% to

<120%

Dlco = diffusing capacity of lung for

carbon monoxide.

[Guest guest]

They should check it using a pulse

oximeter. They only test arterial blood gas when absolutely necessary and

it can be quite painful (always ask for linocane). I recommend getting your own

pulse oximeter from portablenebs http://www.portablenebs.com/choiceoximeter.htm

Ken Baker UIP/IPF 12/05 NH

From:

Breathe-Support [mailto:Breathe-Support ] On Behalf Of Ken Raphael

Sent: Monday, March 09, 2009 7:44

PM

To:

Breathe-Support

Subject: Re: to

Ken R some info on PFT

Thank you - Will they check my blood/gxygen at the PFT Clinic and

should I purchase an oximeter? You are very helpful! Ken

From: Ken's RR

Mail <ridgerunnernh (AT) comcast (DOT) net>

To: Breathe-Support

Sent: Monday, March 9, 2009

2:11:09 PM

Subject: RE: to

Ken R some info on PFT

The Pulmonary Function Test (PFT) will have you breathing into a

device that can quantify how well your lungs work. The values are not cut

and dry and there can be a fairly significant variation in some of the metrics.

The numbers are stated as percent of expected. Below is a table of

“normal” values from the following website http://www.aafp.

org/afp/20040301 /1107.html . The tests are generally repeated until

three attempts have similar results. Tests are often repeated following a

dose of albuterol (an asthma bronchodilator) to determine if there is an

improvement in flow characteristics. I believe these tests to be more

focused on COPD than they are on IPF but they are a good measure of the extent

of scarring that has occurred in IPF cases. DLCO testing is to see how

effective the lungs are at transferring oxygen to the blood by measuring the

amount of carbon dioxide that is transferred from the blood.

Ken Baker UIP/IPF 12/05 New

Hampshire

Normal Values of Pulmonary Function Tests

Pulmonary

function test

Normal

value (95 percent confidence interval)

FEV1

80% to 120%

FVC

80% to 120%

Absolute FEV1/FVC ratio

Within 5% of the

predicted ratio

TLC

80% to 120%

FRC

75% to 120%

RV

75% to 120%

Dlco

>60% to

<120%

Dlco = diffusing capacity of lung for

carbon monoxide.

[Guest guest]

Ken B,

A huge THANK YOU! I just now ordered an oximeter from your recommended site. What is a safe/concerned reading?

Ken R

To: Breathe-Support Sent: Monday, March 9, 2009 5:30:14 PMSubject: RE: to Ken R some info on PFT

They should check it using a pulse oximeter. They only test arterial blood gas when absolutely necessary and it can be quite painful (always ask for linocane). I recommend getting your own pulse oximeter from portablenebs http://www.portable nebs.com/ choiceoximeter. htm

Ken Baker UIP/IPF 12/05 NH

From: Breathe-Support@ yahoogroups. com [mailto:Breathe- Support@yahoogro ups.com] On Behalf Of Ken RaphaelSent: Monday, March 09, 2009 7:44 PMTo: Breathe-Support@ yahoogroups. comSubject: Re: to Ken R some info on PFT

Thank you - Will they check my blood/gxygen at the PFT Clinic and should I purchase an oximeter? You are very helpful! Ken

From: Ken's RR Mail <ridgerunnernh@ comcast.net>To: Breathe-Support@ yahoogroups. comSent: Monday, March 9, 2009 2:11:09 PMSubject: RE: to Ken R some info on PFT

The Pulmonary Function Test (PFT) will have you breathing into a device that can quantify how well your lungs work. The values are not cut and dry and there can be a fairly significant variation in some of the metrics. The numbers are stated as percent of expected. Below is a table of “normal†values from the following website http://www.aafp. org/afp/20040301 /1107.html . The tests are generally repeated until three attempts have similar results. Tests are often repeated following a dose of albuterol (an asthma bronchodilator) to determine if there is an improvement in flow characteristics. I believe these tests to be more focused on COPD than they are on IPF but they are a good measure of the extent of scarring that has

occurred in IPF cases. DLCO testing is to see how effective the lungs are at transferring oxygen to the blood by measuring the amount of carbon dioxide that is transferred from the blood.

Ken Baker UIP/IPF 12/05 New Hampshire

Normal Values of Pulmonary Function Tests

Pulmonary function test

Normal value (95 percent confidence interval)

FEV1

80% to 120%

FVC

80% to 120%

Absolute FEV1/FVC ratio

Within 5% of the predicted ratio

TLC

80% to 120%

FRC

75% to 120%

RV

75% to 120%

Dlco

>60% to <120%

Dlco = diffusing capacity of lung for carbon monoxide.

[Guest guest]

Ken

thanks for the article

i printed it out

Pink Joyce IPF 3/06 Pennsylvania

Donate Life Listed 1/09

www.transplantfund.org---

Subject: RE: to Ken R some info on PFTTo: Breathe-Support Date: Monday, March 9, 2009, 5:11 PM

The Pulmonary Function Test (PFT) will have you breathing into a device that can quantify how well your lungs work. The values are not cut and dry and there can be a fairly significant variation in some of the metrics. The numbers are stated as percent of expected. Below is a table of “normal†values from the following website http://www.aafp. org/afp/20040301 /1107.html . The tests are generally repeated until three attempts have similar results. Tests are often repeated following a dose of albuterol (an asthma bronchodilator) to determine if there is an improvement in flow characteristics. I believe these tests to be more focused on COPD than they are on IPF but they are a good measure of the extent of scarring that has

occurred in IPF cases. DLCO testing is to see how effective the lungs are at transferring oxygen to the blood by measuring the amount of carbon dioxide that is transferred from the blood.

Ken Baker UIP/IPF 12/05 New Hampshire

Normal Values of Pulmonary Function Tests

Pulmonary function test

Normal value (95 percent confidence interval)

FEV1

80% to 120%

FVC

80% to 120%

Absolute FEV1/FVC ratio

Within 5% of the predicted ratio

TLC

80% to 120%

FRC

75% to 120%

RV

75% to 120%

Dlco

>60% to <120%

Dlco = diffusing capacity of lung for carbon monoxide.

[Guest guest]

Hi! I don't recall sending an article - What article was that? Thanks, Ken R.

From: Ken's RR Mail <ridgerunnernh@ comcast.net>Subject: RE: to Ken R some info on PFTTo: Breathe-Support@ yahoogroups. comDate: Monday, March 9, 2009, 5:11 PM

The Pulmonary Function Test (PFT) will have you breathing into a device that can quantify how well your lungs work. The values are not cut and dry and there can be a fairly significant variation in some of the metrics. The numbers are stated as percent of expected. Below is a table of “normal†values from the following website http://www.aafp. org/afp/20040301 /1107.html . The tests are generally repeated until three attempts have similar results. Tests are often repeated following a dose of albuterol (an asthma bronchodilator) to determine if there is an improvement in flow characteristics. I believe these tests to be more focused on COPD than they are on IPF but they are a good measure of the extent of scarring that has

occurred in IPF cases. DLCO testing is to see how effective the lungs are at transferring oxygen to the blood by measuring the amount of carbon dioxide that is transferred from the blood.

Ken Baker UIP/IPF 12/05 New Hampshire

Normal Values of Pulmonary Function Tests

Pulmonary function test

Normal value (95 percent confidence interval)

FEV1

80% to 120%

FVC

80% to 120%

Absolute FEV1/FVC ratio

Within 5% of the predicted ratio

TLC

80% to 120%

FRC

75% to 120%

RV

75% to 120%

Dlco

>60% to <120%

Dlco = diffusing capacity of lung for carbon monoxide.

[Guest guest]

Hi! I don't recall sending an article - What article was that? Thanks, Ken R.

From: Ken's RR Mail <ridgerunnernh@ comcast.net>Subject: RE: to Ken R some info on PFTTo: Breathe-Support@ yahoogroups. comDate: Monday, March 9, 2009, 5:11 PM

The Pulmonary Function Test (PFT) will have you breathing into a device that can quantify how well your lungs work. The values are not cut and dry and there can be a fairly significant variation in some of the metrics. The numbers are stated as percent of expected. Below is a table of “normal†values from the following website http://www.aafp. org/afp/20040301 /1107.html . The tests are generally repeated until three attempts have similar results. Tests are often repeated following a dose of albuterol (an asthma bronchodilator) to determine if there is an improvement in flow characteristics. I believe these tests to be more focused on COPD than they are on IPF but they are a good measure of the extent of scarring that has

occurred in IPF cases. DLCO testing is to see how effective the lungs are at transferring oxygen to the blood by measuring the amount of carbon dioxide that is transferred from the blood.

Ken Baker UIP/IPF 12/05 New Hampshire

Normal Values of Pulmonary Function Tests

Pulmonary function test

Normal value (95 percent confidence interval)

FEV1

80% to 120%

FVC

80% to 120%

Absolute FEV1/FVC ratio

Within 5% of the predicted ratio

TLC

80% to 120%

FRC

75% to 120%

RV

75% to 120%

Dlco

>60% to <120%

Dlco = diffusing capacity of lung for carbon monoxide.

[Guest guest]

Ken R

She's referring to the article Ken Baker sent in response to your post.

>

> From: Ken's RR Mail

> Subject: RE: to Ken R some info on PFT

> To: Breathe-Support@ yahoogroups. com

> Date: Monday, March 9, 2009, 5:11 PM

>

>

>

>

>

>

> The Pulmonary Function Test (PFT) will have you breathing into a

device that can quantify how well your lungs work. The values are

not cut and dry and there can be a fairly significant variation in some

of the metrics. The numbers are stated as percent of expected. Below is

a table of “normal†values from the following website

http://www.aafp. org/afp/20040301 /1107.html . The tests are

generally repeated until three attempts have similar results. Tests

are often repeated following a dose of albuterol (an asthma

bronchodilator) to determine if there is an improvement in flow

characteristics. I believe these tests to be more focused on COPD

than they are on IPF but they are a good measure of the extent of

scarring that has occurred in IPF cases. DLCO testing is to see how

effective the lungs are at transferring oxygen to the blood by measuring

the amount of carbon dioxide that is transferred from the blood.Â

> Ken Baker UIP/IPF 12/05 New Hampshire

> Normal Values of Pulmonary Function Tests

>

>

>

>

>

>

>

> Pulmonary function test

>

>

> Normal value (95 percent confidence interval)

>

>

> FEV1

>

> 80% to 120%

>

>

> FVC

>

> 80% to 120%

>

>

> Absolute FEV1/FVC ratio

>

> Within 5% of the predicted ratio

>

>

> TLC

>

> 80% to 120%

>

>

> FRC

>

> 75% to 120%

>

>

> RV

>

> 75% to 120%

>

>

> Dlco

>

> >60% to <120%

>

>

>

> Dlco = diffusing capacity of lung for carbon monoxide.

> Â

>

[Guest guest]

Ken R

She's referring to the article Ken Baker sent in response to your post.

>

> From: Ken's RR Mail

> Subject: RE: to Ken R some info on PFT

> To: Breathe-Support@ yahoogroups. com

> Date: Monday, March 9, 2009, 5:11 PM

>

>

>

>

>

>

> The Pulmonary Function Test (PFT) will have you breathing into a

device that can quantify how well your lungs work. The values are

not cut and dry and there can be a fairly significant variation in some

of the metrics. The numbers are stated as percent of expected. Below is

a table of “normal†values from the following website

http://www.aafp. org/afp/20040301 /1107.html . The tests are

generally repeated until three attempts have similar results. Tests

are often repeated following a dose of albuterol (an asthma

bronchodilator) to determine if there is an improvement in flow

characteristics. I believe these tests to be more focused on COPD

than they are on IPF but they are a good measure of the extent of

scarring that has occurred in IPF cases. DLCO testing is to see how

effective the lungs are at transferring oxygen to the blood by measuring

the amount of carbon dioxide that is transferred from the blood.Â

> Ken Baker UIP/IPF 12/05 New Hampshire

> Normal Values of Pulmonary Function Tests

>

>

>

>

>

>

>

> Pulmonary function test

>

>

> Normal value (95 percent confidence interval)

>

>

> FEV1

>

> 80% to 120%

>

>

> FVC

>

> 80% to 120%

>

>

> Absolute FEV1/FVC ratio

>

> Within 5% of the predicted ratio

>

>

> TLC

>

> 80% to 120%

>

>

> FRC

>

> 75% to 120%

>

>

> RV

>

> 75% to 120%

>

>

> Dlco

>

> >60% to <120%

>

>

>

> Dlco = diffusing capacity of lung for carbon monoxide.

> Â

>

[Guest guest]

Thank you

Subject: Re: to Ken R some info on PFTTo: Breathe-Support Date: Wednesday, March 11, 2009, 9:30 PM

Ken RShe's referring to the article Ken Baker sent in response to your post.>> From: Ken's RR Mail <ridgerunnernh@ comcast.net>> Subject: RE: to Ken R some info on PFT> To: Breathe-Support@ yahoogroups. com> Date: Monday, March 9, 2009, 5:11 PM>>>>>>> The Pulmonary Function Test (PFT) will have you breathing into adevice that can quantify how well your lungs work. The values arenot cut and dry and there can be a fairly significant variation in someof the metrics. The numbers are stated as percent of expected. Below isa table of

“normalâ€� values from the following websitehttp://www.aafp. org/afp/20040301 /1107.html . The tests aregenerally repeated until three attempts have similar results. Testsare often repeated following a dose of albuterol (an asthmabronchodilator) to determine if there is an improvement in flowcharacteristics. I believe these tests to be more focused on COPDthan they are on IPF but they are a good measure of the extent ofscarring that has occurred in IPF cases. DLCO testing is to see howeffective the lungs are at transferring oxygen to the blood by measuringthe amount of carbon dioxide that is transferred from the blood.Â> Ken Baker UIP/IPF 12/05 New Hampshire> Normal Values of Pulmonary Function Tests>>>>>>>> Pulmonary function test>>> Normal value (95

percent confidence interval)>>> FEV1>> 80% to 120%>>> FVC>> 80% to 120%>>> Absolute FEV1/FVC ratio>> Within 5% of the predicted ratio>>> TLC>> 80% to 120%>>> FRC>> 75% to 120%>>> RV>> 75% to 120%>>> Dlco>> >60% to <120%>>>> Dlco = diffusing capacity of lung for carbon monoxide.> Â>

[Guest guest]

Thank you

Subject: Re: to Ken R some info on PFTTo: Breathe-Support Date: Wednesday, March 11, 2009, 9:30 PM

Ken RShe's referring to the article Ken Baker sent in response to your post.>> From: Ken's RR Mail <ridgerunnernh@ comcast.net>> Subject: RE: to Ken R some info on PFT> To: Breathe-Support@ yahoogroups. com> Date: Monday, March 9, 2009, 5:11 PM>>>>>>> The Pulmonary Function Test (PFT) will have you breathing into adevice that can quantify how well your lungs work. The values arenot cut and dry and there can be a fairly significant variation in someof the metrics. The numbers are stated as percent of expected. Below isa table of

“normalâ€� values from the following websitehttp://www.aafp. org/afp/20040301 /1107.html . The tests aregenerally repeated until three attempts have similar results. Testsare often repeated following a dose of albuterol (an asthmabronchodilator) to determine if there is an improvement in flowcharacteristics. I believe these tests to be more focused on COPDthan they are on IPF but they are a good measure of the extent ofscarring that has occurred in IPF cases. DLCO testing is to see howeffective the lungs are at transferring oxygen to the blood by measuringthe amount of carbon dioxide that is transferred from the blood.Â> Ken Baker UIP/IPF 12/05 New Hampshire> Normal Values of Pulmonary Function Tests>>>>>>>> Pulmonary function test>>> Normal value (95

percent confidence interval)>>> FEV1>> 80% to 120%>>> FVC>> 80% to 120%>>> Absolute FEV1/FVC ratio>> Within 5% of the predicted ratio>>> TLC>> 80% to 120%>>> FRC>> 75% to 120%>>> RV>> 75% to 120%>>> Dlco>> >60% to <120%>>>> Dlco = diffusing capacity of lung for carbon monoxide.> Â>

[Guest guest]

an article about the PFT

Pink Joyce IPF 3/06 Pennsylvania

Donate Life Listed 1/09

www.transplantfund.org---

Subject: RE: to Ken R some info on PFTTo: Breathe-Support Date: Wednesday, March 11, 2009, 4:49 PM

Hi! I don't recall sending an article - What article was that? Thanks, Ken R.

From: Ken's RR Mail <ridgerunnernh@ comcast.net>Subject: RE: to Ken R some info on PFTTo: Breathe-Support@ yahoogroups. comDate: Monday, March 9, 2009, 5:11 PM

The Pulmonary Function Test (PFT) will have you breathing into a device that can quantify how well your lungs work. The values are not cut and dry and there can be a fairly significant variation in some of the metrics. The numbers are stated as percent of expected. Below is a table of “normal†values from the following website http://www.aafp. org/afp/20040301 /1107.html . The tests are generally repeated until three attempts have similar results. Tests are often repeated following a dose of albuterol (an asthma bronchodilator) to determine if there is an improvement in flow characteristics. I believe these tests to be more focused on COPD than they are on IPF but they are a good measure of the extent of scarring that has

occurred in IPF cases. DLCO testing is to see how effective the lungs are at transferring oxygen to the blood by measuring the amount of carbon dioxide that is transferred from the blood.

Ken Baker UIP/IPF 12/05 New Hampshire

Normal Values of Pulmonary Function Tests

Pulmonary function test

Normal value (95 percent confidence interval)

FEV1

80% to 120%

FVC

80% to 120%

Absolute FEV1/FVC ratio

Within 5% of the predicted ratio

TLC

80% to 120%

FRC

75% to 120%

RV

75% to 120%

Dlco

>60% to <120%

Dlco = diffusing capacity of lung for carbon monoxide.

[Guest guest]

Bruce and others..

I have a friend who has a friend who works at the Cleveland Clinic. He says he can get me in to see their pulmonary specialist. I am currently a patient of a pulmonologist

in the lung disease department at the University of Cincinnati. I have a second opinion from another doctor in that department. Can you see any benefit to my seeing another pulmonoogist at the Cleveland Clinic. I know its a famous place but what is to be gained ?

Iy's not like they have a cure no one knows about. And I would have to pay for the visit cuz my ppo doesnt pay out of area.. .

What do you think ?

andy

Subject: Re: to Ken R some info on PFTTo: Breathe-Support Date: Wednesday, March 11, 2009, 5:30 PM

Ken RShe's referring to the article Ken Baker sent in response to your post.>> From: Ken's RR Mail <ridgerunnernh@ comcast.net>> Subject: RE: to Ken R some info on PFT> To: Breathe-Support@ yahoogroups. com> Date: Monday, March 9, 2009, 5:11 PM>>>>>>> The Pulmonary Function Test (PFT) will have you breathing into adevice that can quantify how well your lungs work. The values arenot cut and dry and there can be a fairly significant variation in someof the metrics. The numbers are stated as percent of expected. Below isa table of “normal� values from the following websitehttp://www.aafp. org/afp/20040301 /1107.html . The tests aregenerally repeated until

three attempts have similar results. Testsare often repeated following a dose of albuterol (an asthmabronchodilator) to determine if there is an improvement in flowcharacteristics. I believe these tests to be more focused on COPDthan they are on IPF but they are a good measure of the extent ofscarring that has occurred in IPF cases. DLCO testing is to see howeffective the lungs are at transferring oxygen to the blood by measuringthe amount of carbon dioxide that is transferred from the blood.Â> Ken Baker UIP/IPF 12/05 New Hampshire> Normal Values of Pulmonary Function Tests>>>>>>>> Pulmonary function test>>> Normal value (95 percent confidence interval)>>> FEV1>> 80% to 120%>>> FVC>> 80% to 120%>>> Absolute FEV1/FVC ratio>>

Within 5% of the predicted ratio>>> TLC>> 80% to 120%>>> FRC>> 75% to 120%>>> RV>> 75% to 120%>>> Dlco>> >60% to <120%>>>> Dlco = diffusing capacity of lung for carbon monoxide.> Â>

[Guest guest]

Bruce and others..

I have a friend who has a friend who works at the Cleveland Clinic. He says he can get me in to see their pulmonary specialist. I am currently a patient of a pulmonologist

in the lung disease department at the University of Cincinnati. I have a second opinion from another doctor in that department. Can you see any benefit to my seeing another pulmonoogist at the Cleveland Clinic. I know its a famous place but what is to be gained ?

Iy's not like they have a cure no one knows about. And I would have to pay for the visit cuz my ppo doesnt pay out of area.. .

What do you think ?

andy

Subject: Re: to Ken R some info on PFTTo: Breathe-Support Date: Wednesday, March 11, 2009, 5:30 PM

Ken RShe's referring to the article Ken Baker sent in response to your post.>> From: Ken's RR Mail <ridgerunnernh@ comcast.net>> Subject: RE: to Ken R some info on PFT> To: Breathe-Support@ yahoogroups. com> Date: Monday, March 9, 2009, 5:11 PM>>>>>>> The Pulmonary Function Test (PFT) will have you breathing into adevice that can quantify how well your lungs work. The values arenot cut and dry and there can be a fairly significant variation in someof the metrics. The numbers are stated as percent of expected. Below isa table of “normal� values from the following websitehttp://www.aafp. org/afp/20040301 /1107.html . The tests aregenerally repeated until

three attempts have similar results. Testsare often repeated following a dose of albuterol (an asthmabronchodilator) to determine if there is an improvement in flowcharacteristics. I believe these tests to be more focused on COPDthan they are on IPF but they are a good measure of the extent ofscarring that has occurred in IPF cases. DLCO testing is to see howeffective the lungs are at transferring oxygen to the blood by measuringthe amount of carbon dioxide that is transferred from the blood.Â> Ken Baker UIP/IPF 12/05 New Hampshire> Normal Values of Pulmonary Function Tests>>>>>>>> Pulmonary function test>>> Normal value (95 percent confidence interval)>>> FEV1>> 80% to 120%>>> FVC>> 80% to 120%>>> Absolute FEV1/FVC ratio>>

Within 5% of the predicted ratio>>> TLC>> 80% to 120%>>> FRC>> 75% to 120%>>> RV>> 75% to 120%>>> Dlco>> >60% to <120%>>>> Dlco = diffusing capacity of lung for carbon monoxide.> Â>

[Guest guest]

Andy

The question is does the doctor you would see and does the department in

which he works specialize in Interstitial Lung Diseases. That's where

potential benefit from other facilities would be most helpful as we make

up such a small percentage of the total pulmonary patients. I do think a

second set of eyes is beneficial, even if its a trip of greater distance

to a facility for a one time consultation (well, tests one time and

results one). Cleveland Clinic is an IPF center of excellence. You might

consider others though that are in network if there are any as the total

tests they would do would be extremely expensive. I can't way the

costs/benefits for you as I don't know how comfortable you feel with

your diagnosis. I can say that if I'd had to pay I couldn't have gone to

the University of Chicago for a second opinion as I couldn't have

afforded it.

> >

> > From: Ken's RR Mail

> > Subject: RE: to Ken R some info on PFT

> > To: Breathe-Support@ yahoogroups. com

> > Date: Monday, March 9, 2009, 5:11 PM

> >

> >

> >

> >

> >

> >

> > The Pulmonary Function Test (PFT) will have you breathing into a

> device that can quantify how well your lungs work. The values

are

> not cut and dry and there can be a fairly significant variation in

some

> of the metrics. The numbers are stated as percent of expected. Below

is

> a table of  " normal� values from the following

website

> http://www.aafp. org/afp/20040301 /1107.html . The tests are

> generally repeated until three attempts have similar results.Â

Tests

> are often repeated following a dose of albuterol (an asthma

> bronchodilator) to determine if there is an improvement in flow

> characteristics. I believe these tests to be more focused on

COPD

> than they are on IPF but they are a good measure of the extent of

> scarring that has occurred in IPF cases. DLCO testing is to see

how

> effective the lungs are at transferring oxygen to the blood by

measuring

> the amount of carbon dioxide that is transferred from the blood.Â

> > Ken Baker UIP/IPF 12/05 New Hampshire

> > Normal Values of Pulmonary Function Tests

> >

> >

> >

> >

> >

> >

> >

> > Pulmonary function test

> >

> >

> > Normal value (95 percent confidence interval)

> >

> >

> > FEV1

> >

> > 80% to 120%

> >

> >

> > FVC

> >

> > 80% to 120%

> >

> >

> > Absolute FEV1/FVC ratio

> >

> > Within 5% of the predicted ratio

> >

> >

> > TLC

> >

> > 80% to 120%

> >

> >

> > FRC

> >

> > 75% to 120%

> >

> >

> > RV

> >

> > 75% to 120%

> >

> >

> > Dlco

> >

> > >60% to <120%

> >

> >

> >

> > Dlco = diffusing capacity of lung for carbon monoxide.

> > Â

> >

>

[Guest guest]

Bruce..thanks for your opinions. The doctor I see now as well as her colleagues are associated with the University of Cincinnati Interstitial Lung Disease Center.Their web address is www.uclungfibrosis.com. Several of the doctors there have evaluated my case. I guess that's why I am doubting the value of visiting The Cleveland Clinic. What could they possibly do there that's not being done. I suppose if I were on oxygen 24/7 or in pain, etc. I might be game for a clinical trial, but from everything I've read from you and the others most of the drugs don't really accomplish much and they seem to diminish ones quality of life. I think I have to be more desperate than I am now. And the cost factor ends the discussion. If it were free or reasonable I m might go , but I certainly cant afford major expense.Thanks again,Andy.--- On

Mon, 3/16/09, Bruce Moreland wrote:Subject: Re: to Ken R some info on PFTTo: Breathe-Support Date: Monday, March 16, 2009, 4:32 PM

Andy

The question is does the doctor you would see and does the department in

which he works specialize in Interstitial Lung Diseases. That's where

potential benefit from other facilities would be most helpful as we make

up such a small percentage of the total pulmonary patients. I do think a

second set of eyes is beneficial, even if its a trip of greater distance

to a facility for a one time consultation (well, tests one time and

results one). Cleveland Clinic is an IPF center of excellence. You might

consider others though that are in network if there are any as the total

tests they would do would be extremely expensive. I can't way the

costs/benefits for you as I don't know how comfortable you feel with

your diagnosis. I can say that if I'd had to pay I couldn't have gone to

the University of Chicago for a second opinion as I couldn't have

afforded it.

> >

> > From: Ken's RR Mail <ridgerunnernh@ comcast.net>

> > Subject: RE: to Ken R some info on PFT

> > To: Breathe-Support@ yahoogroups. com

> > Date: Monday, March 9, 2009, 5:11 PM

> >

> >

> >

> >

> >

> >

> > The Pulmonary Function Test (PFT) will have you breathing into a

> device that can quantify how well your lungs work. The values

are

> not cut and dry and there can be a fairly significant variation in

some

> of the metrics. The numbers are stated as percent of expected. Below

is

> a table of â€Å"normal� values from the following

website

> http://www.aafp. org/afp/20040301 /1107.html . The tests are

> generally repeated until three attempts have similar results.Â

Tests

> are often repeated following a dose of albuterol (an asthma

> bronchodilator) to determine if there is an improvement in flow

> characteristics. I believe these tests to be more focused on

COPD

> than they are on IPF but they are a good measure of the extent of

> scarring that has occurred in IPF cases. DLCO testing is to see

how

> effective the lungs are at transferring oxygen to the blood by

measuring

> the amount of carbon dioxide that is transferred from the blood.Â

> > Ken Baker UIP/IPF 12/05 New Hampshire

> > Normal Values of Pulmonary Function Tests

> >

> >

> >

> >

> >

> >

> >

> > Pulmonary function test

> >

> >

> > Normal value (95 percent confidence interval)

> >

> >

> > FEV1

> >

> > 80% to 120%

> >

> >

> > FVC

> >

> > 80% to 120%

> >

> >

> > Absolute FEV1/FVC ratio

> >

> > Within 5% of the predicted ratio

> >

> >

> > TLC

> >

> > 80% to 120%

> >

> >

> > FRC

> >

> > 75% to 120%

> >

> >

> > RV

> >

> > 75% to 120%

> >

> >

> > Dlco

> >

> > >60% to <120%

> >

> >

> >

> > Dlco = diffusing capacity of lung for carbon monoxide.

> > Â

> >

>

[Guest guest]

Bruce..thanks for your opinions. The doctor I see now as well as her colleagues are associated with the University of Cincinnati Interstitial Lung Disease Center.Their web address is www.uclungfibrosis.com. Several of the doctors there have evaluated my case. I guess that's why I am doubting the value of visiting The Cleveland Clinic. What could they possibly do there that's not being done. I suppose if I were on oxygen 24/7 or in pain, etc. I might be game for a clinical trial, but from everything I've read from you and the others most of the drugs don't really accomplish much and they seem to diminish ones quality of life. I think I have to be more desperate than I am now. And the cost factor ends the discussion. If it were free or reasonable I m might go , but I certainly cant afford major expense.Thanks again,Andy.--- On

Mon, 3/16/09, Bruce Moreland wrote:Subject: Re: to Ken R some info on PFTTo: Breathe-Support Date: Monday, March 16, 2009, 4:32 PM

Andy

The question is does the doctor you would see and does the department in

which he works specialize in Interstitial Lung Diseases. That's where

potential benefit from other facilities would be most helpful as we make

up such a small percentage of the total pulmonary patients. I do think a

second set of eyes is beneficial, even if its a trip of greater distance

to a facility for a one time consultation (well, tests one time and

results one). Cleveland Clinic is an IPF center of excellence. You might

consider others though that are in network if there are any as the total

tests they would do would be extremely expensive. I can't way the

costs/benefits for you as I don't know how comfortable you feel with

your diagnosis. I can say that if I'd had to pay I couldn't have gone to

the University of Chicago for a second opinion as I couldn't have

afforded it.

> >

> > From: Ken's RR Mail <ridgerunnernh@ comcast.net>

> > Subject: RE: to Ken R some info on PFT

> > To: Breathe-Support@ yahoogroups. com

> > Date: Monday, March 9, 2009, 5:11 PM

> >

> >

> >

> >

> >

> >

> > The Pulmonary Function Test (PFT) will have you breathing into a

> device that can quantify how well your lungs work. The values

are

> not cut and dry and there can be a fairly significant variation in

some

> of the metrics. The numbers are stated as percent of expected. Below

is

> a table of â€Å"normal� values from the following

website

> http://www.aafp. org/afp/20040301 /1107.html . The tests are

> generally repeated until three attempts have similar results.Â

Tests

> are often repeated following a dose of albuterol (an asthma

> bronchodilator) to determine if there is an improvement in flow

> characteristics. I believe these tests to be more focused on

COPD

> than they are on IPF but they are a good measure of the extent of

> scarring that has occurred in IPF cases. DLCO testing is to see

how

> effective the lungs are at transferring oxygen to the blood by

measuring

> the amount of carbon dioxide that is transferred from the blood.Â

> > Ken Baker UIP/IPF 12/05 New Hampshire

> > Normal Values of Pulmonary Function Tests

> >

> >

> >

> >

> >

> >

> >

> > Pulmonary function test

> >

> >

> > Normal value (95 percent confidence interval)

> >

> >

> > FEV1

> >

> > 80% to 120%

> >

> >

> > FVC

> >

> > 80% to 120%

> >

> >

> > Absolute FEV1/FVC ratio

> >

> > Within 5% of the predicted ratio

> >

> >

> > TLC

> >

> > 80% to 120%

> >

> >

> > FRC

> >

> > 75% to 120%

> >

> >

> > RV

> >

> > 75% to 120%

> >

> >

> > Dlco

> >

> > >60% to <120%

> >

> >

> >

> > Dlco = diffusing capacity of lung for carbon monoxide.

> > Â

> >

>

[Guest guest]

Andy

It sounds like you've thought it all through carefully and made your

decision based on that. A decision can always be changed if

circumstances change. The key is that each of us has to educate

ourselves to the point we feel comfortable in what we do. Had you said

something to imply that you didn't get a sense of confidence from U of

Cincinnati, then I'd be urging you to go somewhere until you did get

that feeling. I'm glad you've found good doctors and a program geared

toward your disease. It sounds like an excellent program they have

there.

>

> > >

>

> > > From: Ken's RR Mail

>

> > > Subject: RE: to Ken R some info on PFT

>

> > > To: Breathe-Support@ yahoogroups. com

>

> > > Date: Monday, March 9, 2009, 5:11 PM

>

> > >

>

> > >

>

> > >

>

> > >

>

> > >

>

> > >

>

> > > The Pulmonary Function Test (PFT) will have you breathing into a

>

> > device that can quantify how well your lungs work. The

values

>

> are

>

> > not cut and dry and there can be a fairly significant variation in

>

> some

>

> > of the metrics. The numbers are stated as percent of expected. Below

>

> is

>

> > a table of  " normal� values

from the following

>

> website

>

> > http://www.aafp. org/afp/20040301 /1107.html . The tests

are

>

> > generally repeated until three attempts have similar

results.Â

>

> Tests

>

> > are often repeated following a dose of albuterol (an asthma

>

> > bronchodilator) to determine if there is an improvement in flow

>

> > characteristics. I believe these tests to be more focused

on

>

> COPD

>

> > than they are on IPF but they are a good measure of the extent of

>

> > scarring that has occurred in IPF cases. DLCO testing is

to see

>

> how

>

> > effective the lungs are at transferring oxygen to the blood by

>

> measuring

>

> > the amount of carbon dioxide that is transferred from the

blood.Â

>

> > > Ken Baker UIP/IPF 12/05 New Hampshire

>

> > > Normal Values of Pulmonary Function Tests

>

> > >

>

> > >

>

> > >

>

> > >

>

> > >

>

> > >

>

> > >

>

> > > Pulmonary function test

>

> > >

>

> > >

>

> > > Normal value (95 percent confidence interval)

>

> > >

>

> > >

>

> > > FEV1

>

> > >

>

> > > 80% to 120%

>

> > >

>

> > >

>

> > > FVC

>

> > >

>

> > > 80% to 120%

>

> > >

>

> > >

>

> > > Absolute FEV1/FVC ratio

>

> > >

>

> > > Within 5% of the predicted ratio

>

> > >

>

> > >

>

> > > TLC

>

> > >

>

> > > 80% to 120%

>

> > >

>

> > >

>

> > > FRC

>

> > >

>

> > > 75% to 120%

>

> > >

>

> > >

>

> > > RV

>

> > >

>

> > > 75% to 120%

>

> > >

>

> > >

>

> > > Dlco

>

> > >

>

> > > >60% to <120%

>

> > >

>

> > >

>

> > >

>

> > > Dlco = diffusing capacity of lung for carbon monoxide.

>

> > > Â

>

> > >

>

> >

>

[Guest guest]

Andy

It sounds like you've thought it all through carefully and made your

decision based on that. A decision can always be changed if

circumstances change. The key is that each of us has to educate

ourselves to the point we feel comfortable in what we do. Had you said

something to imply that you didn't get a sense of confidence from U of

Cincinnati, then I'd be urging you to go somewhere until you did get

that feeling. I'm glad you've found good doctors and a program geared

toward your disease. It sounds like an excellent program they have

there.

>

> > >

>

> > > From: Ken's RR Mail

>

> > > Subject: RE: to Ken R some info on PFT

>

> > > To: Breathe-Support@ yahoogroups. com

>

> > > Date: Monday, March 9, 2009, 5:11 PM

>

> > >

>

> > >

>

> > >

>

> > >

>

> > >

>

> > >

>

> > > The Pulmonary Function Test (PFT) will have you breathing into a

>

> > device that can quantify how well your lungs work. The

values

>

> are

>

> > not cut and dry and there can be a fairly significant variation in

>

> some

>

> > of the metrics. The numbers are stated as percent of expected. Below

>

> is

>

> > a table of  " normal� values

from the following

>

> website

>

> > http://www.aafp. org/afp/20040301 /1107.html . The tests

are

>

> > generally repeated until three attempts have similar

results.Â

>

> Tests

>

> > are often repeated following a dose of albuterol (an asthma

>

> > bronchodilator) to determine if there is an improvement in flow

>

> > characteristics. I believe these tests to be more focused

on

>

> COPD

>

> > than they are on IPF but they are a good measure of the extent of

>

> > scarring that has occurred in IPF cases. DLCO testing is

to see

>

> how

>

> > effective the lungs are at transferring oxygen to the blood by

>

> measuring

>

> > the amount of carbon dioxide that is transferred from the

blood.Â

>

> > > Ken Baker UIP/IPF 12/05 New Hampshire

>

> > > Normal Values of Pulmonary Function Tests

>

> > >

>

> > >

>

> > >

>

> > >

>

> > >

>

> > >

>

> > >

>

> > > Pulmonary function test

>

> > >

>

> > >

>

> > > Normal value (95 percent confidence interval)

>

> > >

>

> > >

>

> > > FEV1

>

> > >

>

> > > 80% to 120%

>

> > >

>

> > >

>

> > > FVC

>

> > >

>

> > > 80% to 120%

>

> > >

>

> > >

>

> > > Absolute FEV1/FVC ratio

>

> > >

>

> > > Within 5% of the predicted ratio

>

> > >

>

> > >

>

> > > TLC

>

> > >

>

> > > 80% to 120%

>

> > >

>

> > >

>

> > > FRC

>

> > >

>

> > > 75% to 120%

>

> > >

>

> > >

>

> > > RV

>

> > >

>

> > > 75% to 120%

>

> > >

>

> > >

>

> > > Dlco

>

> > >

>

> > > >60% to <120%

>

> > >

>

> > >

>

> > >

>

> > > Dlco = diffusing capacity of lung for carbon monoxide.

>

> > > Â

>

> > >

>

> >

>